Individual
MRS. JESSICA H KIMLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
525 US HIGHWAY 13 N, GATES, NC 27937-9493
(757) 297-7736
Mailing address
525 US HIGHWAY 13 N, GATES, NC 27937-9493
(757) 297-7736
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
342126
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2023
Last updated
05/15/2023
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